• 제목/요약/키워드: Oriental medical care

검색결과 511건 처리시간 0.025초

목단피(牧丹皮)의 품질인증(品質認證) 방안(方案) (Quilitative certificational plan of mudanpi)

  • 임중근;노성수;길기정;서부일;서영배
    • 혜화의학회지
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    • 제13권2호
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    • pp.169-178
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    • 2004
  • Now many sustitution and false articles is used in korea instead of mudanpi. To use mudanpi correctly, we will make a quilitative certificational plan of mudanpi to investigate all of lieraturea, records and documents. And we could reach conclusions as folloews. 1. Source Source of mudanpi is cortex of Paeonia suffruticosa Andrews(Family:Ranunculaceae) in korea and china. It needs an attention to distinguish into because there is a substitute and a rank in china. 2. process We have to work before harvesting fresh roots is dry perfectly. If outer skin dried moisture a little, cut off outer skin vertically at sunny day, remove a heart and sever, immedietly dry. When working, we have to take care of because of easy discoloration with moisture. 3. Quality (1) Functional standards A diameter is large, it do not exist a heart of wood, a bark is thick and powdery. Section surface is light white color and rich odor with many light crystals. (2) Physicochemical stamdards We think that it needs to raise a contant of paeonol at all kinds of testing standards. A contant of paeonol is at least more than 2.5%. A part of wood indicate a heart of wood which has no medical effects, but is a relatively heavy part. So a standart of wood must be lowered sifnificantly less than 1.0%. It must be content of ash is less than 6.0%, Content of acid-nonsoluble ash is less than 1.0%. A fixed quantity of paeonol is more than 2.5%. Contens of heavy metal has to detect less than 30 ppm and there is no reminding agriculural medince.

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겨우살이 암치료제의 임상의학적 중요성과 한의학적 겨우살이 약침제제 개발 및 적용 가능성에 관한 고찰 (The importance of clinical mistletoe cancer therapy and korean mistletoe pharmacopuncture preparation development and application possibility for oriental medicine)

  • 최옥병
    • 대한약침학회지
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    • 제12권1호
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    • pp.77-89
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    • 2009
  • Objectives : Mistletoe extracts have been in use for around 85 years, predominantly in the area of cancer therapy. Today mistletoe preparations are among the most prescribed drugs in cancer medicine, thus constituting a standard biological therapy in the area of oncology. The purpose of this study is to analyze the practical implications of mistletoe cancer therapy, their clinical status, their preparation techniques and companies. Contents : Mistletoe therapy for cancer has been developed within the context of anthroposophical medicine. One major effect of mistletoe extract is that it stimulates the immune system and cancer defences. In Germany, a total of eight different mistletoe preparations are available, five developed by Anthroposophic Medicine and three evolved from research in phytotherapy. Therapy always consists of an introductory phase in order to test the patient's tolerance, find the right dosage and choose the most suitable preparation. This paper covers the background of mistletoe medical plant materials, mistletoe therapy for cancer, the anthroposophical medicine and clinical research, the practical regulation of treatment, preparation of mistletoe drugs. Result & suggestion : Mistletoe extracts are a complementary teratment of cancer, widely used in intergrative cancer care. The study of the integration of korean mistletoe extracts to oriental cancer medicine, its development and feasibility in Korea are urgently needed. The products, substances, compositions of european mistletoe drugs are very similar to those of oriental medicine theory. Applying the mistletoe cancer therapy and its preparation techniques to oriental medicine, the herbal acupuncture preparation should be modernized and korean mistletoe products are to be developed. To this end, government and herbal acupuncture society need to interact each other for the development of oriental mistletoe cancer medicine.

도심지역과 농촌지역의 보건소 이용 만족도에 관한 융합연구 (The Convergence Study about Use Satisfaction of Public Health Center in Urban Areas and Rural Areas)

  • 이보우;이영주;장선주;김창규
    • 한국융합학회논문지
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    • 제10권12호
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    • pp.123-128
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    • 2019
  • 이 연구는 경상북도 G시의 지역주민 409명을 대상으로 도심지역과 농촌지역으로 구분하여 보건소 이용에 대한 만족도와 지역주민에게 필요한 건강사업을 분석하기 위하여 설문조사를 실시하였다. 409명의 대상자 중 보건소를 이용한 경험이 있는 284명을 대상으로 보건소 진료에 관한 만족도를 분석하였으며, 일반진료, 한방진료, 치과진료, 물리치료, 검사, 예방접종 등 모든 분야에서 농촌지역의 만족도가 현저히 낮게 나타났다. 이를 개선하기 위하여 지역주민에게 원활한 공공의료서비스가 제공 될 수 있도록 시설 확충 및 개선이 필요하며, 도심지역과 농촌지역 간의 의료 불평등 해소를 위한 보건의료정책을 펼쳐나가야 할 것 이다.

CARE (CAse REport) 지침에 의한 한방비만학회지 증례 논문에 대한 보고의 질 평가: 2013년~2018년 증례보고를 중심으로 (Evaluation of the Quality of Case Reports of the Journal of Korean Medicine for Obesity Research from 2013 to 2018 According to the CARE (CAse REport) Guidelines)

  • 박경무;최성열;이주아;송윤경
    • 한방비만학회지
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    • 제18권2호
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    • pp.144-151
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    • 2018
  • Objectives: The purpose of this study is to evaluate the quality of case reports of the Journal of Korean Medicine for Obesity Research by the Case Report (CARE) guidelines. Methods: Case reports published in the Journal of Korean Medicine for Obesity Research from January 2013 to July 2018 were searched from Oriental Medicine Advanced Searching Integrated System (OASIS). We assessed the quality of reporting based on CARE guidelines. Results: A total of 8 case reports were finally included for the assessment. There was a deviation in the sub-item reporting rate by a maximum 75% and a minimum 57.14% in case reports. The 10 sub-items mentioned below, such as 'Timeline', 'Diagnostic challenges', 'Diagnostic reasoning including other diagnoses considered', 'Prognostic characteristics', 'Changes in intervention', 'Important follow-up diagnostic evaluations and other test results', 'Intervention adherence and tolerability', 'Adverse and unanticipated events', 'Patient perspective' and 'Informed consent' were reported below 30%. Conclusions: Efforts to diversify the subject of the case study and to apply appropriate reporting guidelines are needed to improve the quality of the case report contributed to the Journal of Korean Medicine for Obesity Research.

일 상급종합병원에 입원한 암환자의 극복력, 가족지지 및 건강증진행위간의 관계 (Relationship among Resilience, family support and health promotion of hospitalized cancer patients in an advanced general hospital)

  • 이정란;이경완;진은영;박복남;손윤
    • 대한한의정보학회지
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    • 제21권2호
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    • pp.35-45
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    • 2015
  • 연구목적: 본 연구는 상급종합병원에 입원한 암환자의 극복력, 가족지지 및 건강증진행위의 관계를 조사하였다. 연구방법: 암환자 131명에게 극복력, 가족지지, 건강증진행위를 조사하였으며, SPSS 18.0 프로그램을 이용하여 분석하였다. 연구결과: 극복력은 일반적 특성 중 성별, 교육정도, 직업, 가족수입, 가족도움과 통계적으로 유의한 차이가 있었으며, 질병관련 특성 중 재발여부와 유의한 차이가 있었다. 가족지지는 일반적 특성 중 교육정도, 직업, 돌봄제공자, 가족도움과 통계적으로 유의한 차이가 있었으며, 질병관련 특성 중 질병의 경과기간, 재발여부와 유의한 차이가 있었다. 극복력과 가족지지는 서로 정적상관관계가 있었다. 결론: 암 환자의 극복력을 높이기 위해서는 암환자 가족을 포함시키는 다양한 프로그램 개발이 필요하다.

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한양방 협진치료를 받은 치매와 경도인지장애 환자에 대한 후향적 의무기록 분석 (Retrospective Analysis of Patients Suffering from Dementia or Mild Cognitive Impairment Treated by Collaboration between Western and Korean Medicine)

  • 이고은;정문주;이성익;김남권;김진원;강형원
    • 동의신경정신과학회지
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    • 제29권2호
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    • pp.111-119
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    • 2018
  • Objectives: To investigate the characteristics of patients diagnosed with dementia or mild cognitive impairment who are treated by means of a blend between Western and Korean medicine. Methods: We searched for outpatients with dementia or mild cognitive impairment by means of a collaboration between Western and Korean medicine from August 1, 2015, to July 31, 2017, through electronic medical records in Wonkwang Hospital. The records were retrospectively analyzed according to the patients' demographic and clinical characteristics, pathway of medical care, diagnostic tests, treatment, and medical expenses. Results: Thirteen patients were included in the analysis. Among them, six patients were diagnosed with mild cognitive impairment, five with dementia, Alzheimer's type, one patient with frontotemporal dementia, and one patient with unspecified dementia. Twelve of the thirteen patients were over 60 years of age. The number of pathways from the Dept. of Neurology to the Dept. of Neuropsychiatry of Korean Medicine was almost the same as the opposite pathway. The most used diagnostic test in Korean medicine was a neuropsychological test such as SNSB, MMSE and GDS. In Western medicine, hematology and neuroimaging were frequently used for patients. Acupuncture in Korean medicine and medication in Western medicine were the most frequently used. In Korean medicine, uncovered service costs were much higher than covered service costs,. whereas, in Western medicine, covered service costs were higher than uncovered service costs. Conclusions: This study describes the basic characteristics of dementia and mild cognitive impairment patients treated by a collaboration between Western and Korean medicine. Based on these results, a clinical pathway of the collaborative practice system between Western and Korean medicine for dementia patients needs to be developed.

한방의료기관 이용환자의 추나 이용실태 - 21개 한방병의원 전자의무기록 자료를 이용하여 - (Usage Report of Chuna Manual Therapy in Patients Visiting Korean Medical Institutions -Using Electronic Medical Records(EMR) of 21 Korean Medicine Hospitals and Clinics -)

  • 김민영;하인혁;이진호;김종호;정보영
    • 대한한의학회지
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    • 제40권1호
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    • pp.86-98
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    • 2019
  • Objectives: This study analyzes the electronic medical record (EMR) data of the spine specialist oriental hospital and clinic in various regions, and reports the actual number and used cases of Chuna therapy. Methods: 2,470,772 data was extracted retrospectively from electronic medical records of all inpatients and outpatients who were treated chuna therapy at 21 Korean medicine hospitals and clinics from January 1, 2018 to December 31, 2018. The characteristics of medical treatment using chuna therapy reflect the minimum, maximum and average values of the number of hospitalized patients, length of hospitalization, frequency of hospitalization, number of outpatients, frequency of treatment and frequency of visit. Diseases were classified in the proportion of Chuna treatment according to the KCD, 7th edition. The chuna and blindness charts were derived accordingly from illness and disease of each part of the body. Results: During the study period, a total 1,342,022 inpatients and outpatients visited the study sites. The male proportion was a little higher than the females' (male: 53.7%, female: 46.3%). According to age, the 30s and 40s were more than half the total(30s: 33.0% and 40s: 20.1%). Chuna therapy was treated to more outpatients than hospitalized patients (outpatient: 83.6%, hospitalization: 16.4%), and most treatments were related to musculoskeletal illness(99.06%). Conclusions: As a result of this study, 1,342,389 chuna therapy was performed in 21 hospitals for one year. As highly demanded by the public, we look forward to ensuring national health care options and medical access when health insurance for chuna therapy is applied beginning March 2019.

폐경기 여성의 호르몬대체요법(HRT)과 관련된 국제적 연구경향과 한의학계의 대응에 관한 소고 (World Research Trends in Hormone Replacement Therapy (HRT) for Postmenopausal Women and Traditional Korean Medicine (TKM) Research Group's Response)

  • 김동일
    • 대한한의학회지
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    • 제26권2호
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    • pp.182-194
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    • 2005
  • Objectives: After the discontinuance of the Women's Health Initiative (WHI)clinical trial in the U.S. in July 2002, I thought that the domestic medical field would come to a crisis in hormonal treatment for perimenopausal and postmenopausal women. However, the domestic condition of HRT has barely changed. This study was designed to investigate world research trends in HRT and bring forward the response of the Traditional Korean Medicine (TKM) Research Group. Methods: I investigated recent domestic ;md world research trends about HRT and climacteric syndrome. Based on this analysis, I predicted western medical research trends and direction for HRT and medical care of perimenopausal and postmenopausal women. Results and Conclusions: I propose that we (TKM Research Group) have to explain the side effects of HRT for postmenopausal women and try to suggest complementary therapy for it. For that aim, the Association of Korean Medicine's effort is very important, as well as personal practitioner's actions.

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북한의 동.서의 결합 (The combination of the traditional and the modern medicine in North Korea)

  • 김창엽;이상구;임병묵
    • 대한예방한의학회지
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    • 제4권2호
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    • pp.108-118
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    • 2000
  • According to the North Korean documents , North Korean government have emphasized the development of the Koryo medicine (traditional korean medicine) and encouraged the combination of the Koryo and the modern medicine. It is regarded that this attitude arose from the ruler's will toward independency in the medical field and at the same time the lack of modern medical resources . Combinations of the Koryo medicine and the modern medicine in the clinical textbooks are classified as follows: first, mixed medication of the Koryo and the modern medicine. Second, combination of the traditional acupuncture(or moxibustion) and the medication of modern medicines. Third, injection of modern medicines at acupoints. Forth, an intramuscular or an intravenous injection of the Koryo medicine. Fifth, anesthesia using Koryo medicine. Sixth, simple surgery at the acupoints. Lastly, combination of injection and the traditional therapy(eg. acupuncture, moxibustion and cupping) Despite of many achievements in the field of combined medical treatment, recent economic failure and severe famine for several years caused collapse of the health care delivery system in North Korea, and it is hard to find combined practices actually.

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19세기 고창지방 의원 은수룡이 남긴 경험의안 (A Study of the Case Records of a Herbalist En Su-ryong in the late Chosun dynasty)

  • 이선아
    • 한국의사학회지
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    • 제18권2호
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    • pp.63-91
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    • 2005
  • This paper analyzes the case records of a herbalist En Su-ryong who lived at the Kochang area of Chollapukdo province in the 19th century. The records, which were included in his collection of works, Tantojip(呑吐集), were consisted of 11 clinical diagnosis and prescriptions. The result of the analysis is as follows. First, En Su-ryong's records are estimated to be valuable enough to contribute to the development of the Korean clinical medicine, in light of the fact that the present established prescriptions or medical theory came from the repetition of trial and error by many herb doctors. Second, his case records are unique in the style of writing, because they were consisted of only his own clinical diagnosis and prescriptions case by case, while those of ordinary herbalists were classified by the types of the symptoms of a disease, with their prescriptions modified from the past established. Third, in the records he minutely wrote not only the names and the addresses of the patients under his care, but also the names of the diseases, the progress and the contents of his treatment, and even the perfect cure or not. Therefore, his case records are appreciated to be very important from the standpoint of the history of the society.

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